Individual
DR. AMY KANTIPONG MANCHESTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2100 ERWIN RD, DURHAM, NC 27705-3941
(919) 970-7492
Mailing address
2100 ERWIN RD, DURHAM, NC 27705-3941
(919) 684-8111
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
135423
NC
Other
Enumeration date
05/12/2008
Last updated
05/13/2010
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